1-119735333-G-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_006623.4(PHGDH):​c.682G>T​(p.Gly228Trp) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00144 in 1,614,216 control chromosomes in the GnomAD database, including 5 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G228E) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00087 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0015 ( 5 hom. )

Consequence

PHGDH
NM_006623.4 missense

Scores

12
6
1

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:3

Conservation

PhyloP100: 9.49
Variant links:
Genes affected
PHGDH (HGNC:8923): (phosphoglycerate dehydrogenase) This gene encodes the enzyme which is involved in the early steps of L-serine synthesis in animal cells. L-serine is required for D-serine and other amino acid synthesis. The enzyme requires NAD/NADH as a cofactor and forms homotetramers for activity. Mutations in this gene have been found in a family with congenital microcephaly, psychomotor retardation and other symptoms. Multiple alternatively spliced transcript variants have been found, however the full-length nature of most are not known. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP6
Variant 1-119735333-G-T is Benign according to our data. Variant chr1-119735333-G-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 581769.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=3}.
BS1
Variant frequency is greater than expected in population nfe. gnomad4_exome allele frequency = 0.0015 (2196/1461868) while in subpopulation NFE AF= 0.00183 (2037/1112002). AF 95% confidence interval is 0.00177. There are 5 homozygotes in gnomad4_exome. There are 1056 alleles in male gnomad4_exome subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PHGDHNM_006623.4 linkc.682G>T p.Gly228Trp missense_variant Exon 7 of 12 ENST00000641023.2 NP_006614.2 O43175

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PHGDHENST00000641023.2 linkc.682G>T p.Gly228Trp missense_variant Exon 7 of 12 NM_006623.4 ENSP00000493175.1 O43175

Frequencies

GnomAD3 genomes
AF:
0.000874
AC:
133
AN:
152230
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000410
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.000916
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00145
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000845
AC:
212
AN:
250914
Hom.:
0
AF XY:
0.000767
AC XY:
104
AN XY:
135652
show subpopulations
Gnomad AFR exome
AF:
0.000369
Gnomad AMR exome
AF:
0.00156
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.0000925
Gnomad NFE exome
AF:
0.00126
Gnomad OTH exome
AF:
0.000652
GnomAD4 exome
AF:
0.00150
AC:
2196
AN:
1461868
Hom.:
5
Cov.:
32
AF XY:
0.00145
AC XY:
1056
AN XY:
727232
show subpopulations
Gnomad4 AFR exome
AF:
0.000329
Gnomad4 AMR exome
AF:
0.00148
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000116
Gnomad4 FIN exome
AF:
0.000112
Gnomad4 NFE exome
AF:
0.00183
Gnomad4 OTH exome
AF:
0.00109
GnomAD4 genome
AF:
0.000866
AC:
132
AN:
152348
Hom.:
0
Cov.:
33
AF XY:
0.000819
AC XY:
61
AN XY:
74492
show subpopulations
Gnomad4 AFR
AF:
0.000385
Gnomad4 AMR
AF:
0.000915
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000941
Gnomad4 NFE
AF:
0.00146
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00113
Hom.:
0
Bravo
AF:
0.00102
TwinsUK
AF:
0.00243
AC:
9
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00128
AC:
11
ExAC
AF:
0.000799
AC:
97
EpiCase
AF:
0.00125
EpiControl
AF:
0.00119

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:4Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

PHGDH deficiency Uncertain:2Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Nov 11, 2019
Natera, Inc.
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jan 19, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Neu-Laxova syndrome 1 Uncertain:1
Jun 19, 2019
Knight Diagnostic Laboratories, Oregon Health and Sciences University
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Uncertain:1
Feb 26, 2023
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 33758422) -

not specified Benign:1
Sep 26, 2024
Athena Diagnostics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

PHGDH-related disorder Benign:1
Sep 07, 2022
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.72
BayesDel_addAF
Uncertain
0.025
T
BayesDel_noAF
Pathogenic
0.26
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.95
D;D;.;.;.;.;.
Eigen
Pathogenic
0.96
Eigen_PC
Pathogenic
0.84
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.86
.;D;T;T;D;D;D
M_CAP
Pathogenic
0.73
D
MetaRNN
Uncertain
0.51
D;D;D;D;D;D;D
MetaSVM
Pathogenic
0.84
D
MutationAssessor
Pathogenic
4.1
H;H;.;.;.;.;.
PrimateAI
Uncertain
0.73
T
PROVEAN
Pathogenic
-7.1
.;.;.;.;.;D;.
REVEL
Pathogenic
0.88
Sift
Pathogenic
0.0
.;.;.;.;.;D;.
Sift4G
Pathogenic
0.0
.;.;.;.;.;D;.
Polyphen
1.0
D;D;.;.;.;.;.
Vest4
0.90
MVP
0.94
MPC
0.97
ClinPred
0.67
D
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.96
gMVP
0.80

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs139063843; hg19: chr1-120277956; COSMIC: COSV99054895; COSMIC: COSV99054895; API